Medication Training

1. Medication Training Revised 2007

2. Overview • Medication policy and procedure • Steps to take during intake of medication • Medication request forms and medication log • Steps to administer medication • Additional information • Medication errors

3. Policy and Procedure(pages 4-6) • District policy and procedure is based on Washington State law • The law must be followed when school staff take any responsibility for a student’s oral medication • Must be trained and supervised by a registered nurse • All requirements must be met to administer medication at school

4. Intake (Receipt) of Medication(Page 7) 1. FORM COMPLETE • Student info (fill out top of log both sides) • LHP portion, legible, signed and dated • Parent portion, legible, signed and dated 2. PROPERLY LABELED • Pharmacy label (prescription) • original container w/student name (OTC) • Epi-pens and Inhalers- Pharmacy label on box, device or holder labeled w/name

5. Intake of Medication (cont.) • COUNT MEDICATION w/Parent • On clean surface/tray • Parent to split pills if indicated, before counting • Both parent and staff sign and date log • If parent/adult unavailable for count: two staff count/date/sign; contact parent to report # of pills received • DOCUMENT AMOUNT OF MEDICATION Remaining, Received and Total 5. IMMEDIATELY STORE IN SECURE LOCATION Contact your school nurse with questions/concerns or for any requests for non-oral medications/treatments If a medication is expired, contact your school nurse

6. Medication Request Form (page 8)Parent Information: “Dear Parent”(page 9) • Each medication request form given to parent by the school office should include the “Parent Information” on the reverse

7. Medication Request Form LHP (Licensed Health Provider) (page 8) Johnny B Good 1/27/01 Fun Elementary Joy /1st /101 5 mg po (oral) 11 am Ritalin ADHD nervousness, insomnia, anorexia 9-5-06 6/20/07 Dr. Can’t Write 7/4/06 123-4567 123-5678 Dr. Can’t Write

8. Medication Request Form Parent/Guardian(Page 8) 9-5-06 6/20/07 today Mr. Johnny B Gopd 987-6543 456-7890

9. Quarterly (Daily) Medication Log (page 10)

10. Back of medication log (page 12)

11. Yearly Medication Log (page 11)

12. Back of medication log (page 12)

13. Administering Medication(page 13) • Call student to the med area • Student to have cup of water • Identify student • Check container against the LHP written orders • Check medication log to be sure medication has not been given

14. Medication Administration cont. • Pour medication into cap, then student’s hand • Watch student take medication • Record time and your initials in the date box immediately after giving the medication • Use correct documentation No white out, Use only blue/black ink No empty date boxes for daily meds • Return medication to secured/locked storage area

15. Medication Don’t’s(page 13 #9) • DO NOT prepare any medication ahead of time* • DO NOT give medication that someone else has prepared* CONTACT YOUR NURSE WITH ANY QUESTIONS OR CONCERNS *except when preparing medication for a field trip

16. REMINDER: Private Duty Nurses and Contracted Nurses (i.e. Maxim) can only give medication to the specific student they are providing care for.

17. Important Additional Information (page 14-16) • Parent/guardian to bring medication to school • Students carrying medication (see next slide) • Transferring to other schools • End of school year disposition • Changes in medication dosage • Field trips/day or overnight (see additional slide)

18. Students Carrying Medication (page 14) Requirements for students self carrying oral meds: The student must be able to self administer without any assistance • One day’s dosage only • Note from parent with: • Date(s) the student will be carrying the medication • The name of the medication • Parent signature and parent contact information • LHP name and contact information Any student may lose the right to carry medication if they are not using it responsibly.

19. Field Trips-General(page 16) • Personnel who are trained in the administration of medication must accompany students that need medications given on a field trip. • Nurse needs 72 hours notice to set up a training • Office staff will prepare medications for the trip (this is the exception to never prepare meds ahead) • Medications will be kept “secure” at all times • The student that self carries is responsible for their own medications • Contact nurse with questions/concerns

20. Field Trip Medication Log (page 26) Staff who prepared medication:____________________ Student:______________________________________ Teacher:______________________________________ Medication/Dosage:_____________________________ Amount to be given:_____________________________ TIME: (Give between):______--______ FILL OUT BELOW AFTER MEDICATION IS GIVEN: Date:_______________ Time given:________________ Signature of staff member who gave medication: ____________________________________ Please return this form to the school office after the field trip.

21. Before and After the Field Trip(Guidelines for Preparing Meds for a Field Trip page 25) • Office staff prepares meds for trained staff only • For students w/ daily and “as needed” meds • Complete field trip log sheet w/ med in baggie • Time: “Give between” ex: 11:30 – 1:00 _____________________________________________ • Staff returns log sheet and any med to office • Staff who gave, enters time/initials in date box • Office staff returns med to secure location • Office staff files field trip log form in med notebook

22. Additional Information Cont.(pages 17-18) • Medication administration on early release days • Epi-pens • Record retention • Medication monitoring • Student Medication administration time lines (see next slide) • Medication reminder • Medication expiration dates

23. Medication Administration Time (page 17) • The dose must be given within 30 minutes before or 30 minutes after the time designated on the order. • If LHP orders a lunchtime dose. The dose must be given within 30 minutes before or one hour after the students lunchtime.

24. A missed dose of medication Medication given: At the wrong time To the wrong student The wrong dosage Without a doctor’s order Without a parents signature What is a medication ERROR?(page 19)

25. Medication Error-NOW WHAT! (page 19) • Notify principal, parents and school nurse. • Document the error in the comment section of the log • Remember this is not the end of the world, we learn from our experiences

26. Frequently Asked Questions can be found on pages 20-21. Nurse Delegation in the school setting on page 22. Field Trip Forms are located in the back of the manual on pages 24-26. All forms are located on the school website atSecretarial Services/ Health Resources http://www.spokaneschools.org/StudentSupport/HealthServices/Resources.stm